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Emphysematous pyelonephritis: report of 4 cases
V Malhotra1, H Puri, B S Aulakh
1Department of Pathology, DMC and H, Ludhiana, Punjab. drnmalhotra@rediffmail.com
Indian Journal of Pathology & Microbiology
|December 23, 2006
Summary
Emphysematous pyelonephritis, a rare kidney infection causing gas in the renal system, primarily affects diabetic patients. This study reviews four cases, highlighting the critical nature of this condition.
Area of Science:
- Nephrology
- Infectious Diseases
- Radiology
Background:
- Emphysematous pyelonephritis is a rare, life-threatening necrotizing infection of the kidney.
- It predominantly affects patients with diabetes mellitus, often linked to poor glycemic control.
- Gas production within the renal parenchyma and perirenal tissues is a hallmark characteristic.
Observation:
- This report details four cases of emphysematous pyelonephritis managed at our institution.
- Clinical presentations and diagnostic imaging findings were analyzed.
- The cases underscore the varied manifestations and severity of this condition.
Findings:
- All four patients presented with symptoms indicative of severe renal infection.
- Imaging studies confirmed the presence of intrarenal and/or perirenal gas.
- Prompt diagnosis and management were crucial for patient outcomes.
Implications:
- Emphysematous pyelonephritis requires urgent medical and often surgical intervention.
- Early recognition in diabetic patients is vital to prevent severe complications.
- Further research into optimal management strategies is warranted.
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